DR. SOHEIL KHODADADI D.D.S.
NPI 1710042478
Dentist - General Practice in Beverly Hills, CA

Active since December 23, 2006PECOS Enrolled
8641 WILSHIRE BLVD, SUITE 125, BEVERLY HILLS, CA 90211(310) 271-3003(310) 271-6299 Get Directions Write a Review

NPPES record last updated: July 21, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Soheil Khodadadi D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SOHEIL KHODADADI D.D.S. (NPI 1710042478) is an individual general practice provider in Beverly Hills, California, licensed in Texas (26298) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710042478
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SOHEIL KHODADADICredential: D.D.S.
Location Address8641 WILSHIRE BLVD, SUITE 125Beverly Hills, CA 90211
Mailing Address8641 Wilshire Blvd, Suite 125Beverly Hills, CA 90211 · (310) 271-3003 · Fax (310) 271-6299
Fax(310) 271-6299
Sole ProprietorNo
Enumeration DateDecember 23, 2006
Last NPPES UpdateJuly 21, 2015
NPI 1710042478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in TX · 26298 Licensed in CA · 39024
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 4994T (NV)
8641 WILSHIRE BLVD, Beverly Hills, CA 90211

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Soheil Khodadadi D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Specialty Pharmacy)
8641 WILSHIRE BLVD, STE 120
BEVERLY HILLS, CA 90211
Internal Medicine (Rheumatology)
8641 WILSHIRE BLVD, SUITE 301
BEVERLY HILLS, CA 90211
Obstetrics & Gynecology (Gynecology)
8641 WILSHIRE BLVD, SUITE #215
BEVERLY HILLS, CA 90211
Internal Medicine (Infectious Disease)
8641 WILSHIRE BLVD, SUITE 100
BEVERLY HILLS, CA 90211
Dentist (General Practice)
8641 WILSHIRE BLVD, 315
BEVERLY HILLS, CA 90211
Obstetrics & Gynecology
8641 WILSHIRE BLVD
BEVERLY HILLS, CA 90211
Non-Pharmacy Dispensing Site
8641 WILSHIRE BLVD, STE 301
BEVERLY HILLS, CA 90211
Internal Medicine (Cardiovascular Disease)
8641 WILSHIRE BLVD, STE 220
BEVERLY HILLS, CA 90211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Soheil Khodadadi's NPI number?

The NPI number for Soheil Khodadadi is 1710042478. It was assigned to this individual provider in the NPPES registry on December 23, 2006.

Where is Soheil Khodadadi located?

Soheil Khodadadi practices at 8641 Wilshire Blvd Suite 125, Beverly Hills, CA 90211. The listed phone number is (310) 271-3003.

What is Soheil Khodadadi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Soheil Khodadadi enrolled in Medicare?

Yes. Soheil Khodadadi is registered in the Medicare PECOS enrollment system.

What insurance does Soheil Khodadadi accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 12 other insurers list Soheil Khodadadi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Soheil Khodadadi was last updated on July 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.